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S725

S725Colpocleisis (LeFort or modification)

OHIP Urology Code — FEMALE GENITAL SURGICAL PROCEDURES · Schedule of Benefits

Colpocleisis is a surgical procedure for the closure of the vagina, often referred to as a LeFort operation or a modification thereof. It is typically performed to correct severe pelvic organ prolapse in women who are not sexually active. As a surgical service, it includes all common elements as defined in the Schedule of Benefits (see -).

When to Use

  • Use S725 for a LeFort colpocleisis performed on elderly patients with severe uterine or vaginal vault prolapse who are medically unfit for or decline reconstructive surgery.
  • Use this code when the primary surgical intent is the permanent closure of the vaginal canal to address symptomatic prolapse in non-sexually active patients.

Common Pitfalls

  • Billing S725 in conjunction with other prolapse repair codes like S722 (anterior colporrhaphy) or S723 (posterior colporrhaphy) is generally considered a duplicate service, as the colpocleisis procedure inherently addresses the vaginal wall tissues.
  • Failure to recognize that S725 is a definitive surgical procedure; billing it alongside a hysterectomy (S718) requires clear clinical justification for both, as the colpocleisis often serves as an alternative to more invasive uterine removal.

Billing Tips

  • Ensure the operative report explicitly details the technique used (e.g., LeFort or modification) to support the claim, as this code is specific to the obliteration of the vaginal lumen.
  • As S725 is a surgical procedure, ensure all applicable surgical assistant (suffix B) and anaesthesia (suffix C) units are calculated based on the specific basic units provided in the Schedule of Benefits (6 and 7, respectively).
Provider Fee$300.35
Surgical Assistant Fee$75.06
Anaesthetist Fee$108.43
Non-Anaesthetist Fee$108.43

Effective: April 1, 2025

Category

V. Female Genital Surgical Procedures

Subcategory

FEMALE GENITAL SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Female Genital Surgical Procedures

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